Impact of orthognathic surgery on quality of life in patients with different dentofacial deformities: longitudinal study of the Oral Health Impact Profile (OHIP-14) with at least 1 year of follow-up: longitudinal study of the Oral Health Impact Profile (OHIP-14) with at least 1 year of follow-up

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Objective: The objective of this study was to assess the impact of orthognathic surgery for dental facial deformities on oral health-related quality of life (OHRQoL) in the immediate postoperative period up to at least 1 year after surgery. Study design: This prospective study evaluated data from 85 patients. OHRQoL was assessed using the Dutch version of the Oral Health Impact Profile questionnaire (OHIP-14NL) preoperatively (T 0), each day for 7 days postoperatively (T 1–T 7) and 4 weeks (T 8), 6 months (T 9), and at least 1 year (T 10) after surgery. The total OHIP score was calculated for each patient, with higher OHIP scores indicating a worse impact on oral health. Patients also completed an extra questionnaire about self-care, discomfort, and experienced pain (rated on a 10-point scale) in the postoperative period (T 1–T 10). Results: The mean OHIP score increased sharply at T 1 compared to T 0 but decreased significantly in the first postoperative week. The mean OHIP score at T 8 was still higher than before surgery. However, at T 9 and T 10, the mean OHIP score was significantly lower than at T 0 (P <.05). No significant difference in OHIP score was found between gender, age, type of surgery, and indication for surgery. Pain significantly decreased from T 6 to T 0. The OHIP and pain scores significantly positively correlated at every time point except T 9. Conclusion: The findings indicate that OHRQoL is reduced from baseline in the immediate postoperative period but improves over time. By 1 year, OHRQoL improves significantly after orthognathic surgery in patients with dentofacial deformities.

Original languageEnglish
JournalOral and Maxillofacial Surgery
Early online date2021
Publication statusE-pub ahead of print - 2021


  • OHRQoL
  • Orthognathic surgery
  • Pain

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